Clark Trapp (NPI# 1538556634, PAC ID# 7416263959) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1538556634 |
PAC ID by PECOS | 7416263959 |
Professional Enrollment ID | I20180614002978 |
Full Name | Clark Trapp |
Organization Legal Name | ST ANTHONYS HOSPITAL ASSOCIATION |
Address |
1711 E Harding St Chi St Vincent Primary Care Morrilton AR 72110-4507 |
Phone Number | 5013544637 |
Gender | M |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 2015 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4082516554 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
041324 | CHI ST VINCENT MORRILTON |
040002 | JOHNSON REGIONAL MEDICAL CENTER |
040029 | CONWAY REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 | 5013544637 | ST ANTHONYS HOSPITAL ASSOCIATION |
Organization Legal Name | ST ANTHONYS HOSPITAL ASSOCIATION |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy R Thurman | Nurse Practitioner | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
Laura K Clark | Nurse Practitioner | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Cammie G Price | Nurse Practitioner | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
Michael D Rose | Emergency Medicine | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Joel D Owens | Emergency Medicine | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Donna K Chastain | Nurse Practitioner | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Justin T Harney | Emergency Medicine | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Keith M Lipsmeyer | Family Medicine | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
Ghulam Khan | Family Medicine | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Richard S Young | Emergency Medicine | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Street Address |
1711 E HARDING ST CHI ST VINCENT PRIMARY CARE |
City | MORRILTON |
State | AR |
Zip | 72110-4507 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy R Thurman | Nurse Practitioner | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
Cammie G Price | Nurse Practitioner | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
Keith M Lipsmeyer | Family Medicine | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jimmie Magie | Ophthalmology | 810 E Harding St, Morrilton, AR 72110-2250 | |
William Judd Adams | Optometry | 103 N St Joseph, Morrilton, AR 72110-2915 | |
William Larry Adams | Optometry | Adams Eye Care Clinic, P.a. | 103 N St Joseph, Morrilton, AR 72110-2915 |
Ken H Sowers | Chiropractic | 112 E Commerce St, Morrilton, AR 72110-2921 | |
Laura L Gottsponer | Clinical Social Worker | Counseling Associates Inc | 8 Hospital Dr, Morrilton, AR 72110-4510 |
Deborah Wilmoth | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Shelly Clifton | Nurse Practitioner | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
Gregory Lux | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Carroll J Kraus | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Laura K Clark | Nurse Practitioner | St Anthonys Hospital Association | 4 Hospital Dr, Morrilton, AR 72110-4510 |
Find all physicians in zip 72110 |
City | MORRILTON |
Zip Code | 72110 |
Specialty | FAMILY MEDICINE |
City + Specialty | MORRILTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clark Trapp.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.